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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by mmcconathy on January 17, 2005, at 14:26:54
I want to know, if the body permently adapts to a psychostimulant over time, lately I have had to increase my adderall to 60mg in one dose, and now its starting to feel like 30mg.
Is this permenent, or does a "break" like a weeek make things go back to normal.
This frustrates me, that when 60mg was effective, it loses it, my nuerotransmitters need to get it together.
Can you Help me
Matt
Posted by mmcconathy on January 17, 2005, at 14:37:49
In reply to Stimulant Tolerance - this is frustrating!, posted by mmcconathy on January 17, 2005, at 14:26:54
I used to think i was an expert on stimulants, until now when i dont know what to do.
I now am taking 60mg of Adderall tablets, and it seesm to be losing the effectiveness it once had, and im not going to keep increasing it, becuase 60 is high!
Is this really permenent? has my brain shut down some dopamine nuerons to adapt to the medication?
Lord, i got to get it together.
Pleaes tell me something.
THanks
Matt
Posted by mike13 on January 17, 2005, at 18:56:18
In reply to Re: really need your advice, (chemist_please), posted by mmcconathy on January 17, 2005, at 14:37:49
Creating a tolerance to adderall is pretty common...im not exactly sure how to alleviate this problem . but I would suggest going on ritalin if you can considering the fact that it is much less likely to stop working.
Posted by Maxime on January 17, 2005, at 20:24:19
In reply to Re: really need your advice, (chemist_please), posted by mmcconathy on January 17, 2005, at 14:37:49
Matt, are you a hypochondriac? When you first came on this board it sounded like were not taking anything. Suddenly you are on every med under the sun. You've been complaining about needing a better benzo and now you think your Adderall isn't working. Well maybe you are taking too many benzos. Or maybe you are taking nothing at all.
What meds do you take? We haven't discussed anti-psychotics is that going to be next med we get grilled on?
I'm sorry. I have just really lost my patience and I am usually a very kind person.
Maxime
Posted by mmcconathy on January 18, 2005, at 11:35:32
In reply to Re: really need your advice, (chemist_please), posted by Maxime on January 17, 2005, at 20:24:19
ok, maxine, i do under stand, i'm actually going off klonopin and going to Respirdal. I dont know that im the only poster who asks about alot of medications, im just TRYING to find something that will help me for the mean time! goodness! why do focus on me!
I have told my pdoc about my dissociative attacks, and yes since im young, prone to "addiction", i myself have decided to stay off benzo's.
Adderall keeps me together becuase im very disorganized, and have trouble with keeping up with simple simple things. But i have came to a point where i realize i need to come to reality without medications.
Also on Cymbalta
I do have alot of stress right now, social issues, and i feel i am going to collapse, and i seek out other things to cope with them, which i know are not really the right methods, i know.
I have got to get to collage, my parents who are serperated are fighting over it, and my dad is selfish for me to side with him, if i dont agree with him, he puts me down, tells me that im not his son, and horrible things.
So, im very sorry that you dont like me, yes that is one of my social issues, i dont have friends, and my parents have there own issues that they need to deal with.
Thank you, have a nice day
Posted by chemist on January 18, 2005, at 12:34:13
In reply to Re: really need your advice, (chemist_please), posted by mmcconathy on January 18, 2005, at 11:35:32
hello there, no need to underscore...first off, might i offer some suggestions you can add to the mix? we shall get to the amphetamines anon.
(1) a substantial number of people spend a great deal of time on-line, for work, pleasure, communication, and so on. some of us sit in front of a computer all day because that is the tool we must use in order to keep ourselves busy and productive. you mention college looming soon, a lousy home life, and social pressures (if i may rephrase a bit). these are serious issues and if you do not have a therapist or counselor to meet with at least weekly, you will pay the price later. you might consider budgeting some of your screen-time for face-time with the consent of your custodial parent.
(2) is your doctor - and i am asking this for real - switching your medication regimen weekly? i have heard stories and seen some stuff over the years but your medication trials take the prize. there is the lure of alcohol and equally or less toxic substances awaiting you, and it will not go away until you are through with college. this needs to be on your radar. now, i have to turn up the volume a little bit. make sure you read this.
(3) STOP SCREWING AROUND WITH DAD'S DILANTIN, BARBITURATES, VODKA, GHB, MDMA, BENZODIAZEPINES, TYLENOL, AND WHATEVER ELSE HAS PASSED THROUGH THE CYP450A LOCAL.
now, you had a question about adderall and the fading efficacy. here i go again...
(4) YOU ARE NOT SUPPOSED TO GET ``HIGH'' ON YOUR MEDICATION, ESPECIALLY A SCHEDULE II BLEND OF d,l-AMPHETAMINE SALTS. IF THE POINT OF A PLANNED MEDICATION VACATION IS TO BRING BACK THAT LOVING FEELING, YOU CAN FORGET ABOUT IT BECAUSE IT'S GONE, GONE, GONE.
(5) many people in the past 10 to 15 years have stepped up to the plate and taken the SSRI or SS/NRI offered them. after a few weeks of dry mouth, increased sweating, disrupted sleep, some hair loss, weight gain, halitosis, bankruptcy, forclosure, mugging at gunpoint, divorce, and a close friend spontaneously combusting in the garage, the patient starts feeling better. of course, this does not happen overnight: it's more like two weeks.
(6) after a time, medication is tapered, augmented, replaced, and so on. repeat step (5) above. but the point is that mistakes are made and in time - time for you to start collecting social security - the right combination of meds and therapy will be in place.
(7) buy a PDR.
(8) be well. all the best, chemist
> ok, maxine, i do under stand, i'm actually going off klonopin and going to Respirdal. I dont know that im the only poster who asks about alot of medications, im just TRYING to find something that will help me for the mean time! goodness! why do focus on me!
>
> I have told my pdoc about my dissociative attacks, and yes since im young, prone to "addiction", i myself have decided to stay off benzo's.
>
> Adderall keeps me together becuase im very disorganized, and have trouble with keeping up with simple simple things. But i have came to a point where i realize i need to come to reality without medications.
>
> Also on Cymbalta
>
> I do have alot of stress right now, social issues, and i feel i am going to collapse, and i seek out other things to cope with them, which i know are not really the right methods, i know.
>
> I have got to get to collage, my parents who are serperated are fighting over it, and my dad is selfish for me to side with him, if i dont agree with him, he puts me down, tells me that im not his son, and horrible things.
>
> So, im very sorry that you dont like me, yes that is one of my social issues, i dont have friends, and my parents have there own issues that they need to deal with.
>
> Thank you, have a nice day
Posted by mmcconathy on January 18, 2005, at 15:14:54
In reply to Re: really need your advice, (chemist_please) » mmcconathy, posted by chemist on January 18, 2005, at 12:34:13
Ok, Yes, i HAVE taken other prescriptions that are not mine, yes i know this is not legal and moral. I am being honest.
Yes, i indeed take Adderall 60mg, Cymbalta 30mg, Klonopin .5mg. Thanks you
Now anyways! the adderall does not induce Euphoria, it does provide reinforcing alertness, during the day that is helpful at the dose i am taking. I have taken medications in past to smooth it out, but wasnt effective, but i eventally adapted to it.
Ok, since you label me as "drug seeking", im sorry, but you would not have the tone to a 37 year old woman going through bad anxiety, i guess some medication should be recomeneded to her to help, well same here. Goodness, nervous breakdowns are almost a routine.ANYWAY
I have not done MDMA by the way, thank you for your accurate information.
I see my pdoc on a 3 week basis depending on the medication, new, or dosage.
Yes, i know i ask about many medications, wondering which can once make me stable, and have danm peace of mind!
Ok, thank you for your input, it was very helpful.
Bravo....
Matt
Posted by chemist on January 18, 2005, at 19:20:54
In reply to Re: ok, lets get started, posted by mmcconathy on January 18, 2005, at 15:14:54
hello there, chemist here...my comments delineated by asterisks....be well, chemist
> Ok, Yes, i HAVE taken other prescriptions that are not mine, yes i know this is not legal and moral. I am being honest./**********************************************
the issue is not a personal attack on your real or perceived legal and/or moral ``violations.'' you request assistance, yet on new year's eve 2004, you post an exalted hail to Xanax on PB; i - and certainly others - chose to delicately suggest that Nembutal and Dilantin are items that ought not be sampled from the medicine chest at home: act like a teenager and sneak a beer or two when the folks are out.i penned a direct and not in any way hurtful missive to you if for the only reason that your parents, friends, and doctors have not: your directives - repeated and annoying - for somebody to ``READ THIS NOW'' or some such are not heard by your fine-tuned ears.
***********************************************/>
> Yes, i indeed take Adderall 60mg, Cymbalta 30mg, Klonopin .5mg. Thanks you/***********************************************
you are welcome. now we are making progress. cymbalta is free of choice for the 30 mg dose. what time of day do you take it? adderall: is it XR or IR? 30 mg b.i.d., 15 mg q.i.d., q.p., what? klonopin: 0.5 mg prn hs insomnia, or more? exercise? age? do you smoke? drink? what is your diet like? sleep well? anything you wish to disclose as a minor on a public website gets the HIPAA wave....
************************************************/
>
> Now anyways! the adderall does not induce Euphoria, it does provide reinforcing alertness, during the day that is helpful at the dose i am taking. I have taken medications in past to smooth it out, but wasnt effective, but i eventally adapted to it.
>
/************************************************
this is usually the point where i make a wiseass remark such as ``yeah, right, you smoothed it out with pentobarbital and stoli'' but i am feeling your pain and i request that the jury disregard the comment i did not choose to relay to Matthew. you have labeled yourself as a non-compliant patient and, worse, you request advice and information yet do not investigate any of it. you ``thought you were an expert'' in re: stimulants, but your perceived failure with Adderall is hitting home personally. how can any person make any useful comment concerning your status when as recently as a day or two ago risperidone was on the menu? and Dextrostat? and the Xanax repeats?
************************************************/
>
> Ok, since you label me as "drug seeking", im
/***********************************************
read it again, Matthew: the phrase ``drug seeking'' is nowhere to be found in my assessment
of your condition, which you requested. the statement was not written by me nor are you to attribute it to me in my assessment of your medical history.
************************************************/
sorry, but you would not have the tone to a 37 year old woman going through bad anxiety, i guess some medication should be recomeneded to her to help, well same here. Goodness, nervous breakdowns are almost a routine.
>
/************************************************
aside from the gender and an extra two years, you have described me. you also make an assumption that my (requested) ``consult'' from you would differ from that emanating from a woman of my age: you are correct. you litter PB with 4 requests directed at ME to jump in and solve your problems. i tell you to knock off whatever you are doing that even remotely interferes with your treatment. i suggest therapy/counseling. i am not alone, and this is the last time i take a stab at pretending to be a parent.
************************************************/
> ANYWAY
>
> I have not done MDMA by the way, thank you for your accurate information.
>
/************************************************
no, you are the the person who has provided the accurate information. i thank you.
************************************************/
> I see my pdoc on a 3 week basis depending on the medication, new, or dosage./************************************************
so: you either see a psychiatrist for a meds check - a 20 minute mutual back-slapping exercise where prescriptions are exchanged for $75-$100 - every 21 days or, if you feel that it is not necessary, you do not go. You live in Dallas. Adderall is a Schedule II drug. Texas state law requires a written prescription for a one (1) month supply, no refills, and the script pad contains security features. No phone requests. You have seven (7) days from the day the script is written (and dated with your address, phone, and D.O.B.) to have it filled: after that time, you must secure another script. If you are covered with health insurance, you will exhaust your supply of meds before the 28-day wait on a refill for the Klonopin and Cymbalta: the Adderall is watched with more scrutiny and again, no refills. Ninety (90) generic (Barr) 15 mg capsules substituted for the brand name costs $135 at the local HEB. The brand would scrape $190. Assuming Adderall is priced as Dexedrine XR capsules, you are looking at a hefty price tag, some explaining to do with your doctor, or a tangle with your parents' insurance carrier. How do you do it?
************************************************/
>
> Yes, i know i ask about many medications, wondering which can once make me stable, and have danm peace of mind!
>
/************************************************
dump your doctor: he/she is not doing their job. purchase a PDR. ditch the angst. see you around, hombre......c
************************************************/
> Ok, thank you for your input, it was very helpful.
>
> Bravo....
>
>
>
>
> Matt
>
Posted by mmcconathy on January 18, 2005, at 20:50:17
In reply to Re: ok, lets get started, posted by mmcconathy on January 18, 2005, at 15:14:54
Well chemist,
I have NEVER done MDMA how could you say such a thing! shame!
My mom's Cigna Insurance covers all that junk, PPO. Cymbalta is about 40 that we pay. My mom keeps my medication away from me..........obvious reasons
Yea right? Adderall is effective, I feel in control when things are going rough, my grades are ok now.
So anyways chemist............
how is your day going?
Man, i forgot about that search engine, wow now i can find all the info i want, that thing sure is use ful.Well anyways, in the mean time, i dont know really if i should stay with adderall, it keeps me focused and everything, but it really after time has bad side effects, and loses its effectiveness.
So..yea
Havent took any barbital's lately! I promise! they really are bad.
Thanks for the post, and i guess i will get back with you....
Matt
Posted by chemist on January 19, 2005, at 0:54:08
In reply to Re: anyways, posted by mmcconathy on January 18, 2005, at 20:50:17
Matthew: Why is it that you continue to insist that I asserted that you used MDMA? Is it to keep me coming back for these highbrow verbal sparring matches? Do you enjoy being continually directed to read the posts in question which are devoid of any assertions made by me to the effect that you have used MDMA? On a related note, the sentence in question does, by your reasoning, correctly nail your use of the substances named therein: You have not once attempted to even peripherally address the illegal use of pentobarbital or phenytoin, conveniently stocked among Dad's toiletries. And why the fixation on MDMA? I noted it in my list - incomplete, as I should include cocaine, marijuana, ibogaine, psilocybin, psilocin, mescaline, DOM, DOI, MDA, MDE, LSD-25, ketamine, PCP, diacetylmorphine, BZ, and many others - because GHB and MDMA appear to be among the current favorites among your age group: if you have not been offered Ecstacy, alcohol, GHB, some benzo/derivative, marijuana, and cigarettes before you secure your high school diploma, then the issue of USA Today I read last year in an airport was misleading.
Matthew: My day is fine. Thank you for asking. Good night. c
> Well chemist,
>
> I have NEVER done MDMA how could you say such a thing! shame!
>
> My mom's Cigna Insurance covers all that junk, PPO. Cymbalta is about 40 that we pay. My mom keeps my medication away from me..........obvious reasons
>
> Yea right? Adderall is effective, I feel in control when things are going rough, my grades are ok now.
>
> So anyways chemist............
>
> how is your day going?
>
>
> Man, i forgot about that search engine, wow now i can find all the info i want, that thing sure is use ful.
>
> Well anyways, in the mean time, i dont know really if i should stay with adderall, it keeps me focused and everything, but it really after time has bad side effects, and loses its effectiveness.
>
> So..yea
>
> Havent took any barbital's lately! I promise! they really are bad.
>
> Thanks for the post, and i guess i will get back with you....
>
>
> Matt
Posted by ed_uk on January 19, 2005, at 6:49:52
In reply to reading is (still) fundamental » mmcconathy, posted by chemist on January 19, 2005, at 0:54:08
Hello!
How long have you been taking the Cymbalta now? Have you experienced any side effects?
Best Regards,
Ed.
Posted by Dr. Bob on January 19, 2005, at 8:07:21
In reply to reading is (still) fundamental » mmcconathy, posted by chemist on January 19, 2005, at 0:54:08
> your directives - repeated and annoying
>
> you litter PB> You have not once attempted to even peripherally address the illegal use of pentobarbital or phenytoin, conveniently stocked among Dad's toiletries. And why the fixation on MDMA?
Please don't post anything that could lead others to feel accused or put down. Sorry, but the last time you were blocked it was for 4 weeks, so this time I'm making it for 8.
If you or others have questions about this or about posting policies in general, or are interested in alternative ways of expressing yourself, please see the FAQ:
http://www.dr-bob.org/babble/faq.html#civil
Follow-ups regarding these issues should be redirected to Psycho-Babble Administration. They, as well as replies to the above posts, should of course themselves be civil.
Thanks,
Bob
Posted by Dr. Bob on January 20, 2005, at 23:38:46
In reply to Re: blocked for 8 weeks » chemist, posted by Dr. Bob on January 19, 2005, at 8:07:21
> Follow-ups regarding these issues should be redirected to Psycho-Babble Administration.
Here's a link:
http://www.dr-bob.org/babble/admin/20050116/msgs/445000.html
Thanks,
Bob
This is the end of the thread.
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